A Virtual Instructional Design Improved Breaking Bad News in Obstetrics and Gynecology Residents
Objective: Breaking bad news to the patient is challenging, especially for the physicians and the residents, due to the lack of structured and practical training. This study aimed to design and evaluate a novel virtual instructional design for improving obstetrics and gynecology (Ob/Gyn) residents...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2022-12-01
|
| Series: | Journal of Family and Reproductive Health |
| Subjects: | |
| Online Access: | https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2167 |
| _version_ | 1798004130479865856 |
|---|---|
| author | Elahe Rezayof Setareh Akhavan Leila Afshar Marjan Ghaemi Leyla Sahebi Somayeh Akbari Farmad |
| author_facet | Elahe Rezayof Setareh Akhavan Leila Afshar Marjan Ghaemi Leyla Sahebi Somayeh Akbari Farmad |
| author_sort | Elahe Rezayof |
| collection | DOAJ |
| description |
Objective: Breaking bad news to the patient is challenging, especially for the physicians and the residents, due to the lack of structured and practical training. This study aimed to design and evaluate a novel virtual instructional design for improving obstetrics and gynecology (Ob/Gyn) residents breaking bad news skills.
Materials and methods: Virtual instructional design was performed based on the ADDIE model (Analysis, Design, Development, Implementation and Evaluation) from September 2020 to July 2021 at the Department of Ob/Gyn, a referral hospital affiliated with Tehran University of Medical Sciences, Tehran. Iran. The five steps of ADDIE virtual instructional design were applied sequentially.
Results: Totally 33 of the Ob/Gyn residents included in the study that 77% needed specific training. The awareness of the performance of the residents in seven areas including interview context, strategy, planning, professionalism, empathy, knowledge, and receiving information needed to be trained for breaking bad news. The content of the virtual training package was designed based on the prior assessment needs in four multimedia lectures of professors, one short educational video, a 65-page file that combines text and images in 4 parts. The pre-test and post-test mean scores (SD) were 9.45 (2.0) and 10.67 (1.7), respectively (p-value≤0.001) in the cognitive and attitudinal domain. In the final step, the final corrections were made in the virtual training package. Interestingly, the satisfaction of residents' attitudes was 96.5%.
Conclusion: Most Ob/Gyn residents do not have the necessary perception and skills to deliver bad news to the patients. Designing an appropriate virtual training package for improving communication skills is associated with satisfaction. Thus, the efficacy of the training program should be implemented for all Ob/Gyn residents.
|
| first_indexed | 2024-04-11T12:18:43Z |
| format | Article |
| id | doaj.art-d96bd7c8a3c545e393dd4d112097953b |
| institution | Directory Open Access Journal |
| issn | 1735-8949 1735-9392 |
| language | English |
| last_indexed | 2024-04-11T12:18:43Z |
| publishDate | 2022-12-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Family and Reproductive Health |
| spelling | doaj.art-d96bd7c8a3c545e393dd4d112097953b2022-12-22T04:24:11ZengTehran University of Medical SciencesJournal of Family and Reproductive Health1735-89491735-93922022-12-0116410.18502/jfrh.v16i4.11359A Virtual Instructional Design Improved Breaking Bad News in Obstetrics and Gynecology ResidentsElahe Rezayof0Setareh Akhavan1Leila Afshar2Marjan Ghaemi3Leyla Sahebi4Somayeh Akbari Farmad5Department of Medical Education, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Vali-E-Asr Reproductive Health Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, IranDepartment of Gynecology Oncology, Vali-E-Asr Hospital, Tehran University of Medical Sciences, Imam Khomeini Hospital Complex, Tehran, IranDepartment of Medical Ethics, Shahid Beheshti University of Medical Sciences, Tehran, IranVali-E-Asr Reproductive Health Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, IranMaternal-Fetal, and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, IranDepartment of Medical Education, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran Objective: Breaking bad news to the patient is challenging, especially for the physicians and the residents, due to the lack of structured and practical training. This study aimed to design and evaluate a novel virtual instructional design for improving obstetrics and gynecology (Ob/Gyn) residents breaking bad news skills. Materials and methods: Virtual instructional design was performed based on the ADDIE model (Analysis, Design, Development, Implementation and Evaluation) from September 2020 to July 2021 at the Department of Ob/Gyn, a referral hospital affiliated with Tehran University of Medical Sciences, Tehran. Iran. The five steps of ADDIE virtual instructional design were applied sequentially. Results: Totally 33 of the Ob/Gyn residents included in the study that 77% needed specific training. The awareness of the performance of the residents in seven areas including interview context, strategy, planning, professionalism, empathy, knowledge, and receiving information needed to be trained for breaking bad news. The content of the virtual training package was designed based on the prior assessment needs in four multimedia lectures of professors, one short educational video, a 65-page file that combines text and images in 4 parts. The pre-test and post-test mean scores (SD) were 9.45 (2.0) and 10.67 (1.7), respectively (p-value≤0.001) in the cognitive and attitudinal domain. In the final step, the final corrections were made in the virtual training package. Interestingly, the satisfaction of residents' attitudes was 96.5%. Conclusion: Most Ob/Gyn residents do not have the necessary perception and skills to deliver bad news to the patients. Designing an appropriate virtual training package for improving communication skills is associated with satisfaction. Thus, the efficacy of the training program should be implemented for all Ob/Gyn residents. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2167Instructional DesignBreaking Bad NewsObstetricsGynecologyResidentsCommunication |
| spellingShingle | Elahe Rezayof Setareh Akhavan Leila Afshar Marjan Ghaemi Leyla Sahebi Somayeh Akbari Farmad A Virtual Instructional Design Improved Breaking Bad News in Obstetrics and Gynecology Residents Journal of Family and Reproductive Health Instructional Design Breaking Bad News Obstetrics Gynecology Residents Communication |
| title | A Virtual Instructional Design Improved Breaking Bad News in Obstetrics and Gynecology Residents |
| title_full | A Virtual Instructional Design Improved Breaking Bad News in Obstetrics and Gynecology Residents |
| title_fullStr | A Virtual Instructional Design Improved Breaking Bad News in Obstetrics and Gynecology Residents |
| title_full_unstemmed | A Virtual Instructional Design Improved Breaking Bad News in Obstetrics and Gynecology Residents |
| title_short | A Virtual Instructional Design Improved Breaking Bad News in Obstetrics and Gynecology Residents |
| title_sort | virtual instructional design improved breaking bad news in obstetrics and gynecology residents |
| topic | Instructional Design Breaking Bad News Obstetrics Gynecology Residents Communication |
| url | https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2167 |
| work_keys_str_mv | AT elaherezayof avirtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents AT setarehakhavan avirtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents AT leilaafshar avirtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents AT marjanghaemi avirtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents AT leylasahebi avirtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents AT somayehakbarifarmad avirtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents AT elaherezayof virtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents AT setarehakhavan virtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents AT leilaafshar virtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents AT marjanghaemi virtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents AT leylasahebi virtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents AT somayehakbarifarmad virtualinstructionaldesignimprovedbreakingbadnewsinobstetricsandgynecologyresidents |